{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T09:01:47Z","timestamp":1780477307828,"version":"3.54.1"},"reference-count":24,"publisher":"International College of Surgeons","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>The aim of this study was to elucidate whether fecoflowmetry (FFM) could evaluate more detailed evacuative function than anorectal manometry by comparing between FFM or anorectal manometric findings and the clinical questionnaires and the types of surgical procedure in the patients who received anal-preserving surgery. Fifty-three patients who underwent anal-preserving surgery for low rectal cancer were enrolled. The relationships between FFM or the manometric findings and the clinical questionnaires and the types of procedure of anal-preserving surgery were evaluated. There were significant differences between FFM markers and the clinical questionnaire and the types of the surgical procedure, whereas no significant relationship was observed between the manometric findings and the clinical questionnaire and the types of the surgical procedure. FFM might be feasible and useful for the objective assessment of evacuative function and may be superior to manometry for patients undergoing anal-preserving surgery.<\/jats:p>","DOI":"10.9738\/intsurg-d-13-00142.1","type":"journal-article","created":{"date-parts":[[2015,1,16]],"date-time":"2015-01-16T19:06:34Z","timestamp":1421435194000},"page":"29-37","source":"Crossref","is-referenced-by-count":8,"title":["Fecoflowmetric Analysis of Anorectal Motor Function in Postoperative Anal-Preserving Surgery Patients With Low Rectal Cancer Comparison With the Wexner Score and Anorectal Manometry"],"prefix":"10.9738","volume":"100","author":[{"given":"Yasuhiko","family":"Ryu","sequence":"first","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshito","family":"Akagi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minoru","family":"Yagi","sequence":"additional","affiliation":[{"name":"2Department of Pediatric Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teruo","family":"Sasatomi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsushi","family":"Kinugasa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keizo","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousuke","family":"Oka","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suguru","family":"Fukahori","sequence":"additional","affiliation":[{"name":"2Department of Pediatric Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ichitaro","family":"Shiratsuchi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takefumi","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukito","family":"Gotanda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natsuki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takafumi","family":"Ohchi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kansakar","family":"Romeo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuo","family":"Shirouzu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4721","reference":[{"issue":"4","key":"i0020-8868-100-1-29-b01","series-title":"Ann Surg","first-page":"365","article-title":"Treatment of rectal cancer by low anterior resection with coloanal anastomosis","volume":"219","author":"Paty\n              PB,","year":"1994","unstructured":"Paty\n              PB, \n            \n              Enker\n              WE, \n            \n              Cohen\n              AM, \n            \n              Lauwers\n              GY. \n          \n          Treatment of rectal cancer by low anterior resection with coloanal anastomosis. Ann Surg1994;219(4):365\u2013373"},{"issue":"9","key":"i0020-8868-100-1-29-b02","series-title":"Br J Surg","first-page":"1376","article-title":"Intersphincteric resection for low rectal tumours","volume":"81","author":"Schiessel\n              R,","year":"1994","unstructured":"Schiessel\n              R, \n            \n              Karner-Hanusch\n              J, \n            \n              Herbst\n              F, \n            \n              Teleky\n              B, \n            \n              Wunderlich\n              M. \n          \n          Intersphincteric resection for low rectal tumours. Br J Surg1994;81(9):1376\u20131378"},{"issue":"3","key":"i0020-8868-100-1-29-b03","series-title":"Tech Coloproctol","first-page":"203","article-title":"A new ultimate anus-preserving operation for extremely low rectal cancer and for anal canal cancer","volume":"7","author":"Shirouzu\n              K,","year":"2003","unstructured":"Shirouzu\n              K, \n            \n              Ogata\n              Y, \n            \n              Araki\n              Y, \n            \n              Kishimoto\n              Y, \n            \n              Sato\n              Y. \n          \n          A new ultimate anus-preserving operation for extremely low rectal cancer and for anal canal cancer. Tech Coloproctol2003;7(3):203\u2013206"},{"issue":"12","key":"i0020-8868-100-1-29-b04","series-title":"Br J Surg","first-page":"727","article-title":"A survey of postoperative function after rectal anastomosis with circular stapling devices","volume":"70","author":"McDonald\n              PJ,","year":"1983","unstructured":"McDonald\n              PJ, \n            \n              Heald\n              RJ. \n          \n          A survey of postoperative function after rectal anastomosis with circular stapling devices. Br J Surg1983;70(12):727\u2013729"},{"issue":"6","key":"i0020-8868-100-1-29-b05","series-title":"Dis Colon Rectum","first-page":"747","article-title":"Does a defunctioning stoma affect anorectal function after low rectal resection? Results of a randomized multicenter trial","volume":"54","author":"Lindgren\n              R,","year":"2011","unstructured":"Lindgren\n              R, \n            \n              Hallb\u00f6\u00f6k\n              O, \n            \n              Ruteg\u00e5rd\n              J, \n            \n              Sj\u00f6dahl\n              R, \n            \n              Matthiessen\n              P. \n          \n          Does a defunctioning stoma affect anorectal function after low rectal resection? Results of a randomized multicenter trial. Dis Colon Rectum2011;54(6):747\u2013752"},{"issue":"1","key":"i0020-8868-100-1-29-b06","series-title":"Dis Colon Rectum","first-page":"64","article-title":"Analysis of clinical factors associated with anal function after intersphincteric resection for very low rectal cancer","volume":"52","author":"Ito\n              M,","year":"2009","unstructured":"Ito\n              M, \n            \n              Saito\n              N, \n            \n              Sugito\n              M, \n            \n              Kobayashi\n              A, \n            \n              Nishizawa\n              Y, \n            \n              Tsunoda\n              Y. \n          \n          Analysis of clinical factors associated with anal function after intersphincteric resection for very low rectal cancer. Dis Colon Rectum2009;52(1):64\u201370"},{"issue":"6","key":"i0020-8868-100-1-29-b07","series-title":"Dis Colon Rectum","first-page":"832","article-title":"Comparison of functional results and quality of life between intersphincteric resection and conventional coloanal anastomosis for low rectal cancer","volume":"47","author":"Bretagnol\n              F,","year":"2004","unstructured":"Bretagnol\n              F, \n            \n              Rullier\n              E, \n            \n              Laurent\n              C, \n            \n              Zerbib\n              F, \n            \n              Gontier\n              R, \n            \n              Saric\n              J. \n          \n          Comparison of functional results and quality of life between intersphincteric resection and conventional coloanal anastomosis for low rectal cancer. Dis Colon Rectum2004;47(6):832\u2013838"},{"issue":"4","key":"i0020-8868-100-1-29-b08","series-title":"Surg Today","first-page":"300","article-title":"Postoperative fecoflowmetric analysis in patients with anorectal malformation","volume":"31","author":"Yagi\n              M,","year":"2001","unstructured":"Yagi\n              M, \n            \n              Iwafuchi\n              M, \n            \n              Uchiyama\n              M, \n            \n              Iinuma\n              Y, \n            \n              Kanada\n              S, \n            \n              Ohtaki\n              M\n            \n            et al\n          . Postoperative fecoflowmetric analysis in patients with anorectal malformation. Surg Today2001;31(4):300\u2013307"},{"issue":"3","key":"i0020-8868-100-1-29-b09","series-title":"J Pediatr Surg","first-page":"551","article-title":"Fecoflowmetric profiles in postoperative patients with Hirschsprung's disease","volume":"40","author":"Yagi\n              M,","year":"2005","unstructured":"Yagi\n              M, \n            \n              Kubota\n              M, \n            \n              Kanada\n              S, \n            \n              Kinoshita\n              Y, \n            \n              Okuyama\n              N, \n            \n              Yamazaki\n              S\n            \n            et al\n          . Fecoflowmetric profiles in postoperative patients with Hirschsprung's disease. J Pediatr Surg2005;40(3):551\u2013554"},{"issue":"4","key":"i0020-8868-100-1-29-b10","series-title":"Int Surg","first-page":"350","article-title":"The herbal medicine daikenchuto ameliorates an impaired anorectal motor activity in postoperative pediatric patients with an anorectal malformation\u2014a pilot study","volume":"95","author":"Takagi\n              A,","year":"2010","unstructured":"Takagi\n              A, \n            \n              Yagi\n              M, \n            \n              Tanaka\n              Y, \n            \n              Asagiri\n              K, \n            \n              Asakawa\n              T, \n            \n              Tanaka\n              H\n            \n            et al\n          . The herbal medicine daikenchuto ameliorates an impaired anorectal motor activity in postoperative pediatric patients with an anorectal malformation\u2014a pilot study. Int Surg2010;95(4):350\u2013355"},{"issue":"4","key":"i0020-8868-100-1-29-b11","series-title":"J Pediatr Surg","first-page":"623","article-title":"Evaluation of anorectal functions of children with anorectal malformations using fecoflowmetry","volume":"37","author":"Kayaba\n              H,","year":"2002","unstructured":"Kayaba\n              H, \n            \n              Hebiguchi\n              T, \n            \n              Yoshino\n              H, \n            \n              Mizuno\n              M, \n            \n              Yamada\n              M, \n            \n              Chihara\n              J\n            \n            et al\n          . Evaluation of anorectal functions of children with anorectal malformations using fecoflowmetry. J Pediatr Surg2002;37(4):623\u2013628"},{"issue":"11","key":"i0020-8868-100-1-29-b12","series-title":"Int J Colorectal Dis","first-page":"1321","article-title":"Comparison of a colonic J-pouch and transverse coloplasty pouch in patients with rectal cancer after an ultralow anterior resection using fecoflowmetric profiles","volume":"24","author":"Kobayashi\n              Y,","year":"2009","unstructured":"Kobayashi\n              Y, \n            \n              Yasuo\n              K, \n            \n              Yagi\n              M, \n            \n              Minoru\n              Y, \n            \n              Iiai\n              T, \n            \n              Tsuneo\n              I\n            \n            et al\n          . Comparison of a colonic J-pouch and transverse coloplasty pouch in patients with rectal cancer after an ultralow anterior resection using fecoflowmetric profiles. Int J Colorectal Dis2009;24(11):1321\u20131326"},{"issue":"3","key":"i0020-8868-100-1-29-b13","series-title":"Int Surg","first-page":"201","article-title":"Postoperative defecatory function of an ileal pouch-anal anastomosis after a restorative proctocolectomy for ulcerative colitis: evaluation using fecoflowmetry","volume":"96","author":"Kobayashi\n              Y,","year":"2011","unstructured":"Kobayashi\n              Y, \n            \n              Iiai\n              T, \n            \n              Yagi\n              M, \n            \n              Okamoto\n              H, \n            \n              Tani\n              T, \n            \n              Hatakeyama\n              K. \n          \n          Postoperative defecatory function of an ileal pouch-anal anastomosis after a restorative proctocolectomy for ulcerative colitis: evaluation using fecoflowmetry. Int Surg2011;96(3):201\u2013206"},{"issue":"3","key":"i0020-8868-100-1-29-b14","series-title":"J Clin Gastroenterol","first-page":"259","article-title":"Constipation\u2014some provocative thoughts","volume":"13","author":"Shafik\n              A.","year":"1991","unstructured":"Shafik\n              A. \n          \n          Constipation\u2014some provocative thoughts. J Clin Gastroenterol1991;13(3):259\u2013267"},{"issue":"1","key":"i0020-8868-100-1-29-b15","series-title":"Dis Colon Rectum","first-page":"77","article-title":"Etiology and management of fecal incontinence","volume":"36","author":"Jorge\n              JM,","year":"1993","unstructured":"Jorge\n              JM, \n            \n              Wexner\n              SD. \n          \n          Etiology and management of fecal incontinence. Dis Colon Rectum1993;36(1):77\u201397"},{"issue":"9","key":"i0020-8868-100-1-29-b16","series-title":"Dis Colon Rectum","first-page":"1168","article-title":"Intersphincteric resection with excision of internal anal sphincter for conservative treatment of very low rectal cancer","volume":"42","author":"Rullier\n              E,","year":"1999","unstructured":"Rullier\n              E, \n            \n              Zerbib\n              F, \n            \n              Laurent\n              C, \n            \n              Bonnel\n              C, \n            \n              Caudry\n              M, \n            \n              Saric\n              J\n            \n            et al\n          . Intersphincteric resection with excision of internal anal sphincter for conservative treatment of very low rectal cancer. Dis Colon Rectum1999;42(9):1168\u20131175"},{"issue":"4","key":"i0020-8868-100-1-29-b17","series-title":"Dis Colon Rectum","first-page":"459","article-title":"Early results of intersphincteric resection for patients with very low rectal cancer: an active approach to avoid a permanent colostomy","volume":"47","author":"Saito\n              N,","year":"2004","unstructured":"Saito\n              N, \n            \n              Ono\n              M, \n            \n              Sugito\n              M, \n            \n              Ito\n              M, \n            \n              Morihiro\n              M, \n            \n              Kosugi\n              C\n            \n            et al\n          . Early results of intersphincteric resection for patients with very low rectal cancer: an active approach to avoid a permanent colostomy. Dis Colon Rectum2004;47(4):459\u2013466"},{"issue":"3","key":"i0020-8868-100-1-29-b18","series-title":"Br J Surg","first-page":"203","article-title":"The long term effect of sphincter preserving operations for rectal carcinoma on function of the anal sphincter in man","volume":"67","author":"Williams\n              NS,","year":"1980","unstructured":"Williams\n              NS, \n            \n              Price\n              R, \n            \n              Johnston\n              D. \n          \n          The long term effect of sphincter preserving operations for rectal carcinoma on function of the anal sphincter in man. Br J Surg1980;67(3):203\u2013208"},{"issue":"1","key":"i0020-8868-100-1-29-b19","series-title":"Am J Surg","first-page":"147","article-title":"Level of the anastomosis does not influence functional outcome after anterior rectal resection for rectal cancer","volume":"169","author":"Jehle\n              EC,","year":"1995","unstructured":"Jehle\n              EC, \n            \n              Haehnel\n              T, \n            \n              Starlinger\n              MJ, \n            \n              Becker\n              HD. \n          \n          Level of the anastomosis does not influence functional outcome after anterior rectal resection for rectal cancer. Am J Surg1995;169(1):147\u2013152; discussion 52\u201353"},{"issue":"6","key":"i0020-8868-100-1-29-b20","series-title":"Br J Surg","first-page":"301","article-title":"Resection and sutured colo-anal anastomosis for rectal carcinoma","volume":"69","author":"Parks\n              AG,","year":"1982","unstructured":"Parks\n              AG, \n            \n              Percy\n              JP. \n          \n          Resection and sutured colo-anal anastomosis for rectal carcinoma. Br J Surg1982;69(6):301\u2013304"},{"issue":"2","key":"i0020-8868-100-1-29-b21","series-title":"Dis Colon Rectum","first-page":"210","article-title":"Denervation of the neorectum as a potential cause of defecatory disorder following low anterior resection for rectal cancer","volume":"48","author":"Koda\n              K,","year":"2005","unstructured":"Koda\n              K, \n            \n              Saito\n              N, \n            \n              Seike\n              K, \n            \n              Shimizu\n              K, \n            \n              Kosugi\n              C, \n            \n              Miyazaki\n              M. \n          \n          Denervation of the neorectum as a potential cause of defecatory disorder following low anterior resection for rectal cancer. Dis Colon Rectum2005;48(2):210\u2013217"},{"issue":"9","key":"i0020-8868-100-1-29-b22","series-title":"Int J Colorectal Dis","first-page":"883","article-title":"Characteristic findings on defecography according to reconstruction method and defecatory disorder following sphincter-saving surgery for rectal cancer","volume":"23","author":"Morihiro\n              M,","year":"2008","unstructured":"Morihiro\n              M, \n            \n              Koda\n              K, \n            \n              Seike\n              K, \n            \n              Miyauchi\n              H, \n            \n              Miyazaki\n              M. \n          \n          Characteristic findings on defecography according to reconstruction method and defecatory disorder following sphincter-saving surgery for rectal cancer. Int J Colorectal Dis2008;23(9):883\u2013892"},{"issue":"6","key":"i0020-8868-100-1-29-b23","series-title":"Dis Colon Rectum","first-page":"1065","article-title":"Long-term results of intersphincteric resection for low rectal cancer","volume":"52","author":"Yamada\n              K,","year":"2009","unstructured":"Yamada\n              K, \n            \n              Ogata\n              S, \n            \n              Saiki\n              Y, \n            \n              Fukunaga\n              M, \n            \n              Tsuji\n              Y, \n            \n              Takano\n              M. \n          \n          Long-term results of intersphincteric resection for low rectal cancer. Dis Colon Rectum2009;52(6):1065\u20131071"},{"issue":"1","key":"i0020-8868-100-1-29-b24","series-title":"Eur Surg Res","first-page":"61","article-title":"Fecoflowmetry in fecal incontinence","volume":"24","author":"Shafik\n              A,","year":"1992","unstructured":"Shafik\n              A, \n            \n              Khalid\n              AM. \n          \n          Fecoflowmetry in fecal incontinence. Eur Surg Res1992;24(1):61\u201368"}],"container-title":["International Surgery"],"original-title":[],"link":[{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/100\/1\/article-p29.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/international-surgery\/article-pdf\/100\/1\/29\/2215497\/intsurg-d-13-00142_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/100\/1\/article-p29.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/100\/1\/article-p29.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:05:28Z","timestamp":1751483128000},"score":1,"resource":{"primary":{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/100\/1\/article-p29.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":24,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.9738\/intsurg-d-13-00142.1","relation":{},"ISSN":["0020-8868","2520-2456"],"issn-type":[{"value":"0020-8868","type":"print"},{"value":"2520-2456","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}